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summary plan descriptions

your plan documents

Summary plan descriptions (SPDs) provide specific details about your benefits, such as eligibility, covered services and participation rules.

plan information

Chevron Vision Program (basic vision)
Medical HMO Plan (basic vision)
Vision Plus Program
COBRA continuation coverage

related SPDs

Medical PPO Plan
High Deductible Health Plan
High Deductible Health Plan Basic
Medical HMO Plans
Global Choice Plans

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basic vision

The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.

If you are enrolled in the Medical PPO Plan, HDHP, HDHP Basic or the Global Choice Plan (U.S.-Payroll Expatriates), you’re also automatically enrolled in the Chevron Vision Program for basic vision coverage in the U.S. 

If you are enrolled in the Global Choice Plan (Expatriates in the U.S.), you’re also automatically enrolled in the Chevron Vision Program for basic vision coverage for expatriates on assignment in the U.S.

If you are enrolled in a Medical HMO Plan, basic vision coverage is provided as part of your medical plan coverage. Contact your HMO plan or see your medical plan summary plan description for information about your basic vision coverage.

The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.

Review the benefit summary and highlights to understand basic information about your plan, such as benefits, copayments, deductibles, coinsurance and plan contact information.

vision plus program

The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.

The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.

Vision Plus Services Changes

Other General Plan Changes

Review the benefit summary and highlights to understand basic information about your plan, such as benefits, copayments, deductibles, coinsurance and plan contact information.



This communication provides only certain highlights about benefit provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and the legal plan documents, the legal plan documents will prevail to the extent permitted by law. Oral statements about plan benefits are not binding on Chevron or the applicable plan. Chevron Corporation reserves all rights, for any reason and at any time, to amend, change or terminate these plans or to change or eliminate the company contribution toward the cost of such plans. Such amendments, changes, terminations or eliminations may be applicable without regard to whether someone previously terminated employment with Chevron or previously was subject to a grandfathering provision. Unless required by applicable law, there are no vested rights with respect to any Chevron health and welfare plan benefit or to any company contributions towards the cost of such health and welfare plan benefits. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union-represented employees.

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